NPI | 1982220687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00919800) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F345203-01) |
Enumeration Date | 2020-06-18 |
Last Update Date | 2021-12-22 |